Organization Active NPI

Nathaniel J Leggett OD Inc

  • Optometrist
  • Canton, OH
National Provider Identifier
1659558955
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5221 Issued in OH
Legal business name
NATHANIEL J LEGGETT OD INC
Practice address
3017A Cleveland Ave SW
Canton, OH 44707-3625
Phone
(330) 484-2569
Fax
(330) 484-2263
NPI assigned
Jan 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Nathaniel James Leggett, O.D.
Title
President
Phone
(330) 484-2569

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5221 OH Primary

Addresses

Primary practice location

3017A Cleveland Ave SW
Canton, OH 44707-3625

Mailing address

3017A Cleveland Ave SW
Canton, OH 44707-3625
Phone (330) 484-2569

Other identifiers 1

IdentifierTypeStateIssuer
2714414MedicaidOH

National Provider Directory

National Provider Directory

Locations

3017 Cleveland Ave S
#A
Canton, OH 44707
Phone (330) 484-2569

3017A Cleveland Ave S
Canton, OH 44707
Phone (330) 484-2569

3017 Cleveland Ave SW
Ste B
Canton, OH 44707
Phone (330) 484-2569

3017 Cleveland Ave S
#B
Canton, OH 44707
Phone (330) 484-2569

8934 Darrow Rd
Twinsburg, OH 44087
Phone (330) 425-9830

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1659558955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3017A CLEVELAND AVE SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447073625",
            "telephone_number": "330-484-2569",
            "fax_number": "330-484-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3017A CLEVELAND AVE SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447073625",
            "telephone_number": "330-484-2569",
            "fax_number": "330-484-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHANIEL J LEGGETT OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "LEGGETT",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-484-2569",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2714414",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.